Individual
MR. CLINTON ERIC DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6144 AIRPORT BLVD, MOBILE, AL 36608-3143
(251) 476-5050
(251) 450-2770
Mailing address
PO BOX 86144, MOBILE, AL 36689-6144
(251) 476-5050
(251) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-132
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935721
—
AL
01
—
51532171
BCBS OF AL
AL
01
—
5514653
AETNA
AL
01
—
631187140
TAX ID
—
01
—
P00332004
RR MEDICARE
AL
01
—
S09874
VIVA
AL
Enumeration date
05/03/2006
Last updated
08/11/2016
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